Uses of Ertugliflozin and Sitagliptin:

It is used to lower blood sugar in patients with high blood sugar (diabetes).

What do I need to tell my doctor BEFORE I take Ertugliflozin and Sitagliptin?

If you have an allergy to ertugliflozin and sitagliptin or any part of ertugliflozin and sitagliptin.

If you are allergic to any drugs like this one, any other drugs, foods, or other substances. Tell your doctor about the allergy and what
signs you had, like rash; hives; itching; shortness of breath; wheezing; cough; swelling of face, lips, tongue, or throat; or any other signs.

If you are pregnant or may be pregnant. Do not take ertugliflozin and sitagliptin if you are in the second or third trimester of pregnancy.

If you are breast-feeding. Do not breast-feed while you take ertugliflozin and sitagliptin.

This is not a list of all drugs or health problems that interact with ertugliflozin and sitagliptin.

Tell your doctor and pharmacist about all of your drugs (prescription or OTC, natural products, vitamins) and health problems. You must check
to make sure that it is safe for you to take ertugliflozin and sitagliptin with all of your drugs and health problems. Do not start, stop, or change the dose of
any drug without checking with your doctor.

What are some things I need to know or do while I take Ertugliflozin and Sitagliptin?

Avoid driving and doing other tasks or actions that call for you to be alert until you see how ertugliflozin and sitagliptin affects you.

Do not drive if your blood sugar has been low. There is a greater chance of you having a crash.

To lower the chance of feeling dizzy or passing out, rise slowly if you have been sitting or lying down. Be careful going up and down
stairs.

Be careful in hot weather or while being active. Drink lots of fluids to stop fluid loss.

If loose stools (diarrhea) happen or you are throwing up, call your doctor. You will need to drink more fluids to keep from losing too much
fluid.

It may be harder to control your blood sugar during times of stress like when you have a fever, an infection, an injury, or surgery. A
change in level of physical activity or exercise and a change in diet may also affect your blood sugar. Talk with your doctor.

Talk with your doctor before you drink alcohol.

Very bad and sometimes deadly pancreas problems (pancreatitis) have happened with ertugliflozin and sitagliptin. This could happen at any time during care.
Signs of pancreatitis include very bad stomach pain, very bad back pain, or very upset stomach or throwing up. Call your doctor right away if
you have any of these signs.

Too much acid in the blood or urine (ketoacidosis) and very bad urinary tract infections (UTIs) have happened with ertugliflozin and sitagliptin. Ketoacidosis
can be deadly. Both of these health problems may need to be treated in a hospital. Talk with the doctor.

Kidney problems have happened with ertugliflozin and sitagliptin. Sometimes, kidney problems may need to be treated in the hospital. Dialysis may also be
needed. Talk with your doctor.

Heart failure has happened in people taking drugs like this one. Tell your doctor if you have ever had heart failure or kidney problems.
Call your doctor right away if you feel very tired or you have shortness of breath, a big weight gain, or swelling in the arms or legs.

This medicine may raise the risk of leg and foot amputations. Tell your doctor if you have ever had an amputation, blood vessel disease, nerve
disease, or a foot ulcer caused by diabetes. Call your doctor right away if you have new pain or tenderness, sores or ulcers, or infections in
your legs or feet.

Drugs like this one may cause joint pain that can be very bad and disabling. Call your doctor right away if you have very bad joint pain or
any joint pain that does not go away.

A skin reaction called bullous pemphigoid has happened with drugs like this one. Sometimes, people have had to go to the hospital. Call
your doctor right away if you have blisters or if your skin starts to break down.

If you are 65 or older, use ertugliflozin and sitagliptin with care. You could have more side effects.

This medicine may cause harm to the unborn baby if you take it while you are pregnant. If you are pregnant or you get pregnant while taking
ertugliflozin and sitagliptin, call your doctor right away.

How is this medicine (Ertugliflozin and Sitagliptin) best taken?

Use ertugliflozin and sitagliptin as ordered by your doctor. Read all information given to you. Follow all instructions closely.

Take with or without food.

Take in the morning.

To gain the most benefit, do not miss doses.

Keep taking ertugliflozin and sitagliptin as you have been told by your doctor or other health care provider, even if you feel well.

See also:

What are some side effects that I need to call my doctor about right away?

WARNING/CAUTION: Even though it may be rare, some people may have very bad and sometimes deadly side effects when taking a drug. Tell your
doctor or get medical help right away if you have any of the following signs or symptoms that may be related to a very bad side effect:

Signs of an allergic reaction, like rash; hives; itching; red, swollen, blistered, or peeling skin with or without fever; wheezing;
tightness in the chest or throat; trouble breathing, swallowing, or talking; unusual hoarseness; or swelling of the mouth, face, lips, tongue,
or throat.

Signs of fluid and electrolyte problems like mood changes, confusion, muscle pain or weakness, a heartbeat that does not feel normal, very
bad dizziness or passing out, fast heartbeat, more thirst, seizures, feeling very tired or weak, not hungry, unable to pass urine or change in
the amount of urine produced, dry mouth, dry eyes, or very bad upset stomach or throwing up.

Signs of kidney problems like unable to pass urine, change in how much urine is passed, blood in the urine, or a big weight gain.

Signs of too much acid in the blood (acidosis) like confusion; fast breathing; fast heartbeat; a heartbeat that does not feel normal; very
bad stomach pain, upset stomach, or throwing up; feeling very sleepy; shortness of breath; or feeling very tired or weak.

Signs of a urinary tract infection (UTI) like blood in the urine, burning or pain when passing urine, feeling the need to pass urine often
or right away, fever, lower stomach pain, or pelvic pain.

For men, yeast infection of the penis. Report pain, swelling, rash, or discharge.

Trouble swallowing.

Low blood sugar can happen. The chance of low blood sugar may be raised when ertugliflozin and sitagliptin is used with other drugs for high blood sugar
(diabetes). Signs may be dizziness, headache, feeling sleepy, feeling weak, shaking, a fast heartbeat, confusion, hunger, or sweating. Call
your doctor right away if you have any of these signs. Follow what you have been told to do if you get low blood sugar. This may include taking
glucose tablets, liquid glucose, or some fruit juices.

What are some other side effects of Ertugliflozin and Sitagliptin?

All drugs may cause side effects. However, many people have no side effects or only have minor side effects. Call your doctor or get medical
help if any of these side effects or any other side effects bother you or do not go away:

See also:

If OVERDOSE is suspected:

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was
taken, how much, and when it happened.

How do I store and/or throw out Ertugliflozin and Sitagliptin?

Store in the original container at room temperature.

Store in a dry place. Do not store in a bathroom.

Keep all drugs in a safe place. Keep all drugs out of the reach of children and pets.

Throw away unused or expired drugs. Do not flush down a toilet or pour down a drain unless you are told to do so. Check with your
pharmacist if you have questions about the best way to throw out drugs. There may be drug take-back programs in your area.

Consumer information use

If your symptoms or health problems do not get better or if they become worse, call your doctor.

Do not share your drugs with others and do not take anyone else's drugs.

Keep a list of all your drugs (prescription, natural products, vitamins, OTC) with you. Give this list to your doctor.

Talk with the doctor before starting any new drug, including prescription or OTC, natural products, or vitamins.

This medicine comes with an extra patient fact sheet called a Medication Guide. Read it with care. Read it again each time ertugliflozin and sitagliptin is
refilled. If you have any questions about ertugliflozin and sitagliptin, please talk with the doctor, pharmacist, or other health care provider.

If you think there has been an overdose, call your poison control center or get medical care right away. Be ready to tell or show what was
taken, how much, and when it happened.